Published online November 1, 2006
PEDIATRICS Vol. 118 Supplement November 2006, pp. S65-S72 (doi:10.1542/peds.2006-0913B)
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ARTICLE


Evaluation and Development of Potentially Better Practices to Reduce Bronchopulmonary Dysplasia in Very Low Birth Weight Infants

Nathaniel R. Payne, MDa, Meena LaCorte, MDb, Shyan Sun, MDc, Padmani Karna, MDd, Martha Lewis-Hunstiger, BSN, MA, RNe, Jay P. Goldsmith, MDf on behalf of the Breathsavers Group

a Division of Neonatology
e Neonatal Intensive Care Unit, Children's Hospital and Clinics, Minneapolis, Minnesota
b Division of Neonatology, Department of Pediatrics, Interfaith Medical Center, Brooklyn, New York
c Division of Neonatology, St Barnabas Medical Center, Livingston, New Jersey
d Division of Neonatology, Sparrow Hospital and Michigan State University, Lansing, Michigan
f Division of Neonatology, Department of Pediatrics, Ochsner Clinic, New Orleans, Louisiana

OBJECTIVE. The objective of this study was to describe development and implementation of potentially better practices to reduce bronchopulmonary dysplasia in very low birth weight infants (birth weight: 501–1500 g).

METHODS. Results of Breathsavers Group meetings, conference calls and critically appraised topic summaries were used to construct potentially better practices. Implementation plans and experiences were reported by participants and collated.

RESULTS. The Breathsavers Group developed 13 potentially better practices, based on published evidence and expert opinion. Participants determined which potentially better practices to implement and implementation methods. Participating NICUs implemented an average of 5 potentially better practices (range: 3–9). The Breathsavers Group also developed a resource kit, identified common obstacles to implementation, and initiated research to define bronchopulmonary dysplasia better.

CONCLUSIONS. Multiinstitutional collaboration facilitated development and implementation of potentially better practices to reduce bronchopulmonary dysplasia.

Key Words: bronchopulmonary dysplasia • very low birth weight infant • process improvement • NICUs • quality improvement

Abbreviations: VON—Vermont Oxford Network • NIC/Q 2002—Neonatal Intensive Care Quality Improvement Collaborative 2002 • VLBW—very low birth weight • PBP—potentially better practice • BPD—bronchopulmonary dysplasia • PMA—postmenstrual age • CATS—critically appraised topic summaries • PDA—patent ductus arteriosus

Accepted Jul 18, 2006.